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If you’re one of the almost five billion
people with access to clean water and good
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hygiene, there are a lot of reasons to be
thankful.
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For one thing, you don’t have to worry about
typhoid fever.
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The disease, which is caused by a bacteria
called Salmonella typhi, is spread by infected
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food, water, or contact with a sick person’s
feces or urine, and symptoms include vomiting,
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diarrhea, and a nasty rash.
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But some people don’t have any symptoms
at all.
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They’re carriers, and can still spread the
disease, even though they aren’t sick themselves.
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Mary Mallon, better known as Typhoid Mary,
was one of those carriers.
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In the early 1900s, typhoid fever was mainly
a problem in poor urban communities - but
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suddenly, about 3,000 people, including rich
families, got sick.
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And it was all thanks to Mary Mallon.
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Mallon immigrated from Ireland to New York
City in 1883 and started working as a cook
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for wealthy families.
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We don’t know when she originally got typhoid
fever, but she was definitely a carrier, and
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the families she worked for always got sick
after she started cooking for them.
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But by the time someone came to investigate,
Mary had always moved on to the next house.
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Her luck ran out in 1906, while she was working
for a family in Oyster Bay, on Long Island
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in New York.
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The family came down with typhoid fever — which
was totally unexpected, because Oyster Bay
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was home to the rich and famous, and typhoid
was considered a disease that mainly affected
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the poor.
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So the house’s landlord hired George Soper,
a freelance sanitary engineer, to find the
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source of the outbreak.
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All the water sources in the house turned
up clean, and Soper eventually started looking
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into Mary’s employment history.
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Seven families she’d worked for — a total
of 22 people — had reported cases of typhoid
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fever, including one girl who had died.
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It didn’t take Sherlock Holmes to put the
pieces together: Mary was a typhoid carrier.
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Even if they feel fine, carriers carry the
typhoid-causing bacteria in their cells for
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years, which means they can get other people
sick, too.
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The carrier doesn’t feel sick, but the bacteria
are still in their feces and urine, so they
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can spread the disease if they don’t wash
their hands well.
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But even though Mallon was a cook, at first
it didn’t make sense that she’d spread
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typhoid so easily.
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Even if she didn’t wash her hands, any bacteria
in her food should have died from the high
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temperatures involved in cooking.
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Except it turned out that she was preparing
non-cooked foods, too — one of her most
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popular dishes was peach ice cream, which
was packed with raw peaches.
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After Soper’s investigation, Mallon was
forced to have her feces tested for typhoid.
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The test was positive, so she was quarantined
in a small shack on North Brother Island,
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a tiny island east of Manhattan.
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Mary Mallon was the first known typhoid carrier
in the United States, and her case wasn’t
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handled too well.
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Health officials didn’t do a great job explaining
to Mallon why she was spreading disease even
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though she didn’t feel sick, and they didn’t
prepare her for life as a carrier.
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Three years later, she was released from quarantine,
but she had to promise not to go back to cooking.
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Mallon didn’t have a way to make a decent
living doing anything else, though, so when
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the city lost touch with her, she went right
back to the kitchen.
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Five years later, typhoid fever broke out
at Sloane Maternity Hospital in Manhattan,
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infecting 25 workers and killing two people.
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Health officials went to the hospital … and
found Mary Mallon working there as a cook
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under a new name, Mary Brown.
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So she was taken back to North Brother Island,
where she was quarantined for more than 23
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years, until she died in 1938.
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Even though Typhoid Mary was the first known
typhoid carrier in the U.S., she wasn’t
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the last.
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Plenty of other New Yorkers carried the disease,
but since Mary had gone back to cooking despite
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knowing she could infect people, the public
turned against her.
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These days, typhoid can usually be treated
with antibiotics, and there are vaccinations
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for people who live in or travel to parts
of the world where it’s common.
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And hopefully, as we keep working to get clean
water and sanitation to people who need it,
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typhoid fever will become less of a problem.
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Carriers are kept under close watch, but as
long as they aren’t working in jobs like
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cooking, they’re free to live their lives.
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Mary Mallon wasn’t so lucky.
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Thank you for watching this episode of SciShow,
and special thanks to our patrons on Patreon
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for making it all possible.
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If you’d like to help us keep making episodes
like this, go to patreon.com/scishow, and
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be sure to go to youtube.com/scishow and subscribe.
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